MA MPJE 2026/2027 QUESTIONS AND ANSWERS
RATED A+
✔✔What mid-level practitioners can prescribe in Massachusetts? - ✔✔Nurse
practitioners and Physician Assistants
✔✔A prescription is sent and received electronically, but the prescribing physician calls
and wants to change the dose of a medication. Every electronic RX is printed down and
filed away. Is it sufficient to pull the hardcopy and write the changed dose on it and file it
away? - ✔✔No, if a prescription is sent and received electronically, any annotations to
the prescription must also be saved electronically. (CVS Example: Rescan the
prescription after the note has been completed)
✔✔Prior to October 1, 1985, DEA registration numbers started with the letter "__" -
✔✔A
✔✔Today, DEA registration numbers usually start with the letter "__" or "__" - ✔✔B or F
✔✔Mid-level practitioner's DEA numbers start with the letter "__" - ✔✔M
✔✔The second letter in a DEA number is almost always what? - ✔✔The first letter of
the practitioner's last name
✔✔In what circumstance is a person exempt from registering with the DEA? - ✔✔An
active official in the US Army, Navy, Marine Corps, Air Force, Coast Guard, Federal
Bureau of Prisons, or Public Health Service who is authorized to administer, dispense,
and prescribe but not procure, or purchase controlled substances in the course of his or
her official duties.
✔✔When prescribing controlled substances, an official of the US armed forces includes
what specific things on the prescription?
1.
2. - ✔✔1. The branch of government
2. Service Identification number
✔✔When prescribing controlled substances, an official of the Public Health Service
includes what specific things on the prescription?
1.
2. - ✔✔1. State Public Health Service
2. Service Identification number (which is their social security number)
✔✔If members of the US armed forces or Public Health Service want to run a private
medical practice on the side, do they need to register with the DEA? - ✔✔Yes, they
must obtain a separate registration
, ✔✔True or False? Mid-level practitioners can prescribe CII medications? - ✔✔Yes, in
massachusetts nurse practitioners and physician assistants can prescribe schedule II -
V substances.
✔✔Is there a federal time limit within which a Schedule II prescription must be filled? -
✔✔No. However, in MA you have 30 days after the date of issue. The first day does not
count.
✔✔Is there a federal quantity limit for Schedule II prescriptions? - ✔✔No, however, the
prescription must still be for a legitimate medical purpose.
✔✔What is the federal law for refills on a Schedule II medication? - ✔✔No refills are
allowed on CII's at the federal level or MA.
✔✔Individual practitioner's may issue up to ____ days worth of supply of a CII between
multiple prescriptions. What must these prescriptions include? - ✔✔90 days.. they must
include instructions on each prescription indicating the earliest date on which the
pharmacy is allowed to fill them.
✔✔True or False? To save time for the patient, a prescriber can fax a prescription for a
CII Narcotic medication in order for the pharmacy to get it ready, as long as the patient
brings a written hardcopy. - ✔✔True, this practice is allowed. However, the written
prescription is required before dispensing the medication.
✔✔Prescribers may fax CII prescriptions in three distinct scenarios. Describe them. -
✔✔1. CII narcotic to be compounded and directly administered to a patient by
parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion.
2. The practitioner is prescribing for a resident of a long-term care facility.
3. The practitioner is prescribing for a patient enrolled in a hospice program paid for my
Medicare under Title XVIII, OR enrolled in a state-licensed hospice program.
✔✔Schedule III and IV prescriptions can be refilled up to ___ times within ____ _____
after the date of issue - ✔✔Refilled up to five times within 6 months of the date of issue.
✔✔Schedule III prescriptions can be refilled for a maximum ___ day supply. - ✔✔In MA,
Schedule II and III substances are limited to 30-day supplies.
✔✔When a schedule III or IV prescription is refilled, what information must be written on
the back?
1.
2.
3. - ✔✔1. Dispensing Pharmacist's Initials
2. Date prescription was refilled
RATED A+
✔✔What mid-level practitioners can prescribe in Massachusetts? - ✔✔Nurse
practitioners and Physician Assistants
✔✔A prescription is sent and received electronically, but the prescribing physician calls
and wants to change the dose of a medication. Every electronic RX is printed down and
filed away. Is it sufficient to pull the hardcopy and write the changed dose on it and file it
away? - ✔✔No, if a prescription is sent and received electronically, any annotations to
the prescription must also be saved electronically. (CVS Example: Rescan the
prescription after the note has been completed)
✔✔Prior to October 1, 1985, DEA registration numbers started with the letter "__" -
✔✔A
✔✔Today, DEA registration numbers usually start with the letter "__" or "__" - ✔✔B or F
✔✔Mid-level practitioner's DEA numbers start with the letter "__" - ✔✔M
✔✔The second letter in a DEA number is almost always what? - ✔✔The first letter of
the practitioner's last name
✔✔In what circumstance is a person exempt from registering with the DEA? - ✔✔An
active official in the US Army, Navy, Marine Corps, Air Force, Coast Guard, Federal
Bureau of Prisons, or Public Health Service who is authorized to administer, dispense,
and prescribe but not procure, or purchase controlled substances in the course of his or
her official duties.
✔✔When prescribing controlled substances, an official of the US armed forces includes
what specific things on the prescription?
1.
2. - ✔✔1. The branch of government
2. Service Identification number
✔✔When prescribing controlled substances, an official of the Public Health Service
includes what specific things on the prescription?
1.
2. - ✔✔1. State Public Health Service
2. Service Identification number (which is their social security number)
✔✔If members of the US armed forces or Public Health Service want to run a private
medical practice on the side, do they need to register with the DEA? - ✔✔Yes, they
must obtain a separate registration
, ✔✔True or False? Mid-level practitioners can prescribe CII medications? - ✔✔Yes, in
massachusetts nurse practitioners and physician assistants can prescribe schedule II -
V substances.
✔✔Is there a federal time limit within which a Schedule II prescription must be filled? -
✔✔No. However, in MA you have 30 days after the date of issue. The first day does not
count.
✔✔Is there a federal quantity limit for Schedule II prescriptions? - ✔✔No, however, the
prescription must still be for a legitimate medical purpose.
✔✔What is the federal law for refills on a Schedule II medication? - ✔✔No refills are
allowed on CII's at the federal level or MA.
✔✔Individual practitioner's may issue up to ____ days worth of supply of a CII between
multiple prescriptions. What must these prescriptions include? - ✔✔90 days.. they must
include instructions on each prescription indicating the earliest date on which the
pharmacy is allowed to fill them.
✔✔True or False? To save time for the patient, a prescriber can fax a prescription for a
CII Narcotic medication in order for the pharmacy to get it ready, as long as the patient
brings a written hardcopy. - ✔✔True, this practice is allowed. However, the written
prescription is required before dispensing the medication.
✔✔Prescribers may fax CII prescriptions in three distinct scenarios. Describe them. -
✔✔1. CII narcotic to be compounded and directly administered to a patient by
parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion.
2. The practitioner is prescribing for a resident of a long-term care facility.
3. The practitioner is prescribing for a patient enrolled in a hospice program paid for my
Medicare under Title XVIII, OR enrolled in a state-licensed hospice program.
✔✔Schedule III and IV prescriptions can be refilled up to ___ times within ____ _____
after the date of issue - ✔✔Refilled up to five times within 6 months of the date of issue.
✔✔Schedule III prescriptions can be refilled for a maximum ___ day supply. - ✔✔In MA,
Schedule II and III substances are limited to 30-day supplies.
✔✔When a schedule III or IV prescription is refilled, what information must be written on
the back?
1.
2.
3. - ✔✔1. Dispensing Pharmacist's Initials
2. Date prescription was refilled
